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Here Under the current Government guidelines, only 47.6% of men with ED are eligible for treatment under the NHS (see Table 1). Out of the 147, 58 patients (40%) had one or more cardiovascular risk factors (hypertension, ischaemic heart disease, arrrythmia, congestive heart failure, dyslipidaemia or peripheral vascular disease). Only 32 of these patients (i.e. 55% of those with CVS risk factors) qualified for NHS treatment based on other grounds. What Should I Do If I am Having Problems Achieving/Maintaining an Erection? Adverse effects, including lethargy and drowsiness When administered in vitro, PDE5 inhibition induces apoptosis in colon carcinoma (15) and chronic lymphocytic leukemia cells (16). To determine whether similar effects could be observed in vivo, we used various transplantable mouse tumors, including CT26WT (a colon carcinoma; Fig. 1 A), the more aggressive variant C26GM (Fig. 1 B), TS/A (a mammary adenocarcinoma; Fig. 1 C), and the MCA203 fibrosarcoma (Fig. 1 D). PDE5 inhibitors were administered starting on the day of tumor challenge. Sildenafil and tadalafil significantly delayed tumor outgrowth by 50 to 70% in immune-competent mice, although all mice ultimately died (Fig. S1, available at http://www.jem.org/cgi/content/full/jem.20061104/DC1). Similar results were obtained even if sildenafil treatment was started on day 7 after tumor challenge in the CT26WT model (Fig. S2). The fact that no difference in tumor outgrowth was seen between early versus late administration of sildenafil suggests that PDE5 inhibition does not appreciably affect the early phases of tumor uptake but rather influences the later stages of tumor outgrowth. Because the addition of sildenafil to cultured CT26WT cells did not increase their apoptosis or affect their doubling time (unpublished data), we conclude that sildenafil does not have a direct antitumor effect but rather interferes in host–tumor interactions. The researchers also reviewed the results of studies on erectile dysfunction in men with chronic heart failure. They noted that erectile dysfunction may arise from reduced blood flow to the penis, and that certain drugs used to treat chronic heart failure might actually exacerbate this problem. Sharlip cautioned this is a preliminary study involving animals. But he said that "rabbit tissue is fairly similar to human tissue. If it can be done in rabbits, it probably can be done in humans." Healthfacts, March, 1999 by Maryann Napoli By Jennifer Thomas "In Brazil, it's common to have accidents with poisonous animals," explained lead researcher Kenia Pedrosa Nunes, a post-doctoral fellow in physiology at the Medical College of Georgia in Augusta and a native of Brazil. "So, we were aware of this spider's venom. The toxin was able to normalize erections [in rats]." Reviewed by the doctors at the Glickman Urological Institute at The Cleveland Clinic (2005). Erectile dysfunction may be a sign of undiagnosed or poorly managed diabetes. People with diabetes who don't keep their blood sugar levels under control can develop nerve damage (neuropathy). Often it's the nerves of the extremities, such as the hands and feet, that are damaged. But the genitals can be affected, too. Nocturnal emissions Non sex-related dreams with nocturnal emissions Drugs "This study reiterates what we know, that erectile dysfunction is highly prevalent in the Unites States," said Dr. Hossein Sadeghi-Nejad, director of the Center for Male Reproductive Medicine at Hackensack University Medical Center and an associate professor of urology at UMD New Jersey Medical School. Impotence, while not to be taken lightly, isn't a life-threatening condition on its own. Men don't actually need sex to stay alive (no matter what they may tell their wives). But impotence, also known as erectile dysfunction, can in fact portend some deadly health problems. Erectile Dysfunction: Where to Start Media file 3: Erectile dysfunction. A number of devices have been developed to ascertain the occurrence of an erection during sleep. This snap gauge is fastened around the penis but opens when an erection occurs. If pills do not work, options such as the following are available. Erectile Dysfunction (Impotence) and Diabetes

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